Individual
CLIFFORD GEORGE ANDREW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D., PH.D.
Contact information
Practice address
645 BALTIMORE ANNAPOLIS BLVD, SUITE 105, SEVERNA PARK, MD 21146-3931
(410) 647-5000
(419) 647-5010
Mailing address
132 SAINT ANDREWS RD, SEVERNA PARK, MD 21146-1517
(410) 987-6789
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
D0024290
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
785791800
—
MD
Enumeration date
01/04/2007
Last updated
01/31/2013
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